Tag Archives: counseling

People facing addictive disease cover a wide variety of maturity levels, individual capabilities, and in their level of desire for sober lives. What I mean is that some are further along in their mindset and are really ready to live drug free. They embrace the challenge, and they recognize that some work lies ahead in order to get their life properly sorted out.

Others are sometimes only motivated by the present crisis. They do the right thing only long enough to avert the crisis, and then they’re back to old behavior and old attitudes like they didn’t miss a beat. They straighten up just long enough to avoid probation revocation. They may stop using and “make nice” with a loved one as long as it takes to get some money or a favor, and then it’s back to addict behavior.

With opiate addiction, people from all walks of life can develop a problem – from the chronic troublemaker to the person who never gave anyone a hard time. Opiate addiction covers the whole spectrum of humanity and knows no boundaries. I have treated doctors, dentists, and lawyers … grandparents … church members … teachers … and teens. This diverse group of people had one thing in common. That’s right. Addiction.

While long term recovery is available to every person, only some get clean & sober. Why is this? The answer has much to do with whether a person has an innate desire to change, whether they are teachable and open, and sometimes whether their conscience is awake. Addiction, and the unique behavioral traits that often surround it, make people resistant to change. They resist doing the things that lead to stability, sobriety, and success. Like a seriously overweight person who keeps overeating or a stage 4 diabetic who won’t leave the doughnuts and cookies alone.

Addicts can cycle in and out of rehabs, in and out of jobs, and in and out of relationships. They become the drama that disrupts family life. The phone call at 3:00 a.m. that wakes the children. The examples are endless and they all lead to the same destination … which is pain, loss, failure. Or, as they say in NA: jails, institutions, or death.

Each addiction is a journey as is each individual recovery. There are bumps in the road and a multitude of wrong turns. But there is learning. Hopefully, humility develops and the willingness to follow a new path that involves the guidance & support of others who know more. Addiction is a cunning illness. Trying to fight addiction alone is not a smart decision. It has been shown repeatedly that those who make it typically seek help. Treatment is help. Treatment provides the needed support, feedback, and essential tools for repairing one’s life. Opiate addiction is a powerful trap. Make no mistake though. People do recover … and go on to exciting and enriched lives. Do not stay stuck. Reach out for help in your local community.

An article was brought to our attention by Dr. Dana Jane Saltzman, a New York City physician who specializes in the treatment of opioid addiction. Dr. Saltzman uses suboxone in her private practice to help those seeking recovery from a severe opioid habit.

The article was posted in The Village Voice and attempted to depict the duality of opioid replacement therapies. This duality stems from the highly therapeutic & legitimate uses of suboxone (buprenorphine) contrasted against the attempts of some addicts to create a black market cottage industry with the medication selling it illegally online via Craigslist, Facebook, and other social media.

In the world of medicine and addiction treatment, selling suboxone is certainly criminal, and also behavior characteristic of someone who is not grounded in recovery. Many medical & clinical treatment professionals across the country have endeavored for decades to provide safe, effective treatment to suffering addicts. When FDA-approved opioid treatment medications are misdirected and sold on the black market, all varieties of abuse and exploitation occur ending in overdoses and a deepening of damaging social stigma about medications such as suboxone and methadone.

The Village Voice article plays it straight up the middle with perhaps some emphasis on the growing underground market for suboxone targeted to those who want to bypass the cost or inconvenience of signing on with a suboxone-approved physician.

Individuals who attempt to treat their own addiction with opioid replacement therapy are going to fail a high percentage of times. First, most have no medical basis for understanding the complex nature of opioid addiction in the brain, and they can even deepen their addiction through the inappropriate use of opioid replacements. Addicts often go with what feels right opting for their own intuition as opposed to following proven best practice protocols like those employed in structured treatment programs supervised by suboxone-approved doctors.

Addicts who treat themselves with street suboxone or methadone are also completely missing the counseling component of recovery which addresses the underlying psychological factors that drive addiction. Taking street suboxone without counseling is akin to taking diabetes medication while eating doughnuts. In other words, the individual makes their complicated dilemma even worse.

There are some generic equivalents of suboxone in development which may make opioid replacement therapy more accessible to the larger population. Suboxone and methadone have a definite place in addiction treatment. It is critical however that early recovering addicts receive quality counseling so that they can better understand how to cope with relapse patterns and develop the skills necessary to successfully manage the disease of addiction. Addicts treating themselves with medications acquired on the street will remain stuck in a vicious cycle of addiction.

True recovery requires humility and commitment to higher principles. Chasing shortcuts to recovery creates more pain and wastes valuable time that would be better invested in real solutions.

Article Categories

Article Archives

Sublocade is a newly released medication alternative for treating opioid addiction. It is a product of Indivior, the pharmaceutical company responsible for Suboxone. Sublocade is a once monthly injection of time-released buprenorphine typically provided to patients who have been receiving buprenorphine for at least (7) days and who are stable on their medication. The injection […]

In 2017, Ohio increased its number of buprenorphine-approved prescribers by 266. This was the result of a $2.3 million dollar Federal grant that provided state-wide training to doctors, nurse practitioners, and physician assistants as reported by Cleveland.com. Historically, Ohio had numerous communities that were underserved with 19 counties having no buprenorphine providers at the beginning […]

Featured Treatment Providers

Education on Basic Topics

Methadone.US is an information center on methadone treatment, methadone clinics, and general opioid replacement therapies. This site profiles solutions for those suffering with opiate abuse or dependency, and aims to educate the public on the value of medication-assisted treatment. Buprenorphine.US is a companion site that features thousands of local physicians approved to write prescriptions for buprenorphine and popular drugs containing buprenorphine such as Suboxone.

The contents of Methadone.US are for general informational purposes only and are not intended to substitute for professional or medical evaluation, diagnosis, treatment, or advice. Users of this site are encouraged to contact your professional healthcare provider for medical assistance regarding addictive disorders, general health problems, mental health problems, and any & all health-related questions. Any information you find here or on other websites linked to from Methadone.US should be verified with your professional healthcare provider. Users who are experiencing a medical emergency should call your doctor or 911 immediately. Methadone.US is not affiliated with the pharmaceutical company Reckitt-Benckiser (the manufacturer of Suboxone).

Methadone.US does not guarantee the accuracy of information contained on this site or on sites linked to from this site. Reliance on any information appearing here is solely at your own risk. The users of this site shall indemnify and hold Methadone.US, its parent company, employees, agents, and sponsors harmless from and against any and all damages, liabilities, losses, costs, and expenses, including reasonable attorney’s fees, arising out of or related to use of information, services, or products mentioned at this website. Methadone.US makes no guarantee, whatsoever, regarding clinics or advertisers listed on this site, and bears no responsibility whatsoever for information, claims, or results associated with methadone clinics, advertisers, or other service providers listed on this site. All users are encouraged to perform their own independent examination & review of any website or service listed on Methadone.US.